Organization Active NPI

Community First Medical PLLC

  • Family Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1588282131
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY FIRST MEDICAL PLLC
Practice address
7415 37TH Ave
Jackson Heights, NY 11372-6339
Phone
(929) 575-5656
Fax
(929) 575-4075
NPI assigned
Jul 10, 2020
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Seeam Nur Haque, MDNPI 1487041554
Title
Owner/President
Phone
(917) 720-3477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7415 37TH Ave
Jackson Heights, NY 11372-6339

Mailing address

62 Norman LN
Levittown, NY 11756-1708
Phone (917) 720-3477

Other practice location 1

8716 Avon St
Jamaica, NY 11432-3128
Phone (929) 575-5656

Other practice location 2

62 Norman Ln
Levittown, NY 11756-1708
Phone (646) 457-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826001970 NY Part B Supplier - Clinic/Group Practice 9234556937 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY; Levittown, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1588282131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NORMAN LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561708",
            "telephone_number": "917-720-3477",
            "fax_number": "929-575-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726339",
            "telephone_number": "929-575-5656",
            "fax_number": "929-575-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8716 Avon St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114323128",
            "country_code": "US",
            "telephone_number": "929-575-5656",
            "fax_number": "929-575-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Norman Ln",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "NY",
            "postal_code": "117561708",
            "country_code": "US",
            "telephone_number": "646-457-8127",
            "fax_number": "407-210-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY FIRST MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "SEEAM",
        "authorized_official_middle_name": "NUR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-720-3477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.